Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jamie Costello Kenwood, LCSW

Individual provider Clinical Social Worker · NPI 1316113525

MS. Jamie Costello Kenwood, LCSW is a Clinical Social Worker in Represa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Partly verified

Some contact details are missing from the federal record.

Prison Rd California State Prison Sacramento
Represa, CA 95670
Phone: (916) 324-6317
Fax: (916) 294-3195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 23573 (CA)

Record details

NPI number1316113525
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 7, 2008
Last updated in NPPESMay 7, 2008

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